Unqork for Payers

Rapidly build enterprise-grade applications to onboard members, gather information, and incorporate business logic to surface benefits and care pathways.

Traditional healthcare payer processes are not designed for the digital age. Healthcare payers need to offer simple, digital touchpoints that can connect members and physician to highly automated back-office workflows that seamlessly—and securely—integrate with legacy systems and third-party services.

Unqork is reimagining the application development process to transform how payer organizations approach member onboarding, benefit design, and case intake & management processes—all without writing a single line of code.

Reduce total cost of ownership

Eliminate legacy code and maintenance with an application development process that’s much easier to not only build, but also to maintain.

Get new products to market faster

Accelerate the application development process with a single visual interface across the entire development stack.

Improve quality and reduce risk

Stop throwing requirements over the wall — your engineers, business owners, and analysts can all work and collaborate more effectively with Unqork.

Simple Health

"We [all] must move faster to become more patient and customer-focused companies."

Carrie SiuButt, CEO

Payer Use Cases

Member Onboarding

Build custom workflows to gather data from members and incorporate business logic to surface benefits and care pathways.

Provider Search & Scheduling

Provide a simple, digital touchpoint for self-service appointment scheduling to drive member and physician satisfaction while improving your bottom line.

Benefit Design

Create rules engine with company-specific algorithms to manage coverage (networks, COEs), cost sharing (preauthorization, copays), and other key dimensions.

Case Management

Establish and manage your organization's case management needs with a digital experience that includes the coordination of case intake, ongoing management & maintenance, and serves as a conduit to external data and services.

Real-time Claims Adjudication

Automate business logic and workflows to identify, correct and validate claims to quickly and flexibly scale adjudication.

 

Welcome to the future of healthcare application development.

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